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General NPI Number Information
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NPI Number | 1942485321
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Entity Type | Individual
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Provider Name | SUMMIT GUPTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 137 BULLARD CIR
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City | ROCKVILLE
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State | MD
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Zip | 20850-3816
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Country | US
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Telephone | 290-321-9575
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Fax |
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Provider Business Mailing Address
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Address Line | 2 UNIVERSITY PLZ STE 204
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City | HACKENSACK
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State | NJ
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Zip | 07601-6211
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Country | US
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Telephone | 551-295-8223
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0068890
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD432933
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | D0068890
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | D0068890
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License Number State | MD
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